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Nov 27, 2013 7:00pm EST
by private and public players, insurance companies are paying us less, medicare is paying us less. sequestration had an effect on hospitals, the nih funding decreasing has had an effect on our research, so we had to decrease our costs still further. all of this goes into trying to change how health care comes together. not one single thing did it we would not one single payer or program, it is a whole series of things we are doing starting back 5, 6, 7 years ago and -- the changes are so significant in terms of what we're going to pay that we have to now be even more stringent. that is what led to people -- offering people early- retirement. >> did you expect that after you made this announcement that the obama connection was going to be made which more >> absolutely not. one of my biggest concerns was for the people that worked at the cleveland clinic. we are concerned about driving great quality health care and we are looking after our employees, because all of our caregivers -- are really what the clinic is. we are not buildings, we are people. my concern really was about those
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